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1. Visning av provsvar för ANA diagnostik i nationell patientöversikt (NPÖ)
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2. Tabell med kodade värden som används i exemplet och tillhörande kommentarer
# | Namn | Kod | Benämning | Kodverk | Urval | Kommentar |
|---|---|---|---|---|---|---|
Analysgrupp | ||||||
1. | namn | Bindvävssjukdom | ||||
2. | grupp- | Antikroppar mot SSA/Ro60 och eller SSB är associerade med diagnosen SLE och Sjögrens syndrom. | ||||
Prov | ||||||
3. | material | 119297000 | blod | Snomed CT | Provmaterial kan även anges som fritext. | |
Laboratorieanalys | ||||||
status | 398166005 | utförd | Snomed CT | |||
4. | kod | P—ANA (IgG, IF) | NPU | |||
P—dsDNA-ak (IgG) | ||||||
P—SSA/Ro60-ak (IgG) | ||||||
P—SSA/Ro52-ak (IgG) | ||||||
P—SSB-ak (IgG) | ||||||
5. | metod | 68431000052104 | ELISA | Snomed CT | Det är frivilligt att ange metod. | |
Laboratorieanalysresultat | ||||||
typ | P—ANA (IgG, IF) | NPU | ||||
P—dsDNA-ak (IgG) | ||||||
P—SSA/Ro60-ak (IgG) | ||||||
P—SSA/Ro52-ak (IgG) | ||||||
P—SSB-ak (IgG) | ||||||
6. | värde | 10828004 | positiv | Snomed CT | Resultaten kan koderas med en Snomed CT kod eller fritext. | |
260385009 | negativ | |||||
7. | tolkning | 394844007 | utanför referensintervall | Snomed CT | ||
3. Informationsmodell för ANA-diagnostik
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4. XML-kod för
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exemplet ANA-diagnostik
| Kodblock | ||||
|---|---|---|---|---|
| ||||
<s:Envelope xmlns:s="http://schemas.xmlsoap.org/soap/envelope/">
<s:Body xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema">
<GetLaboratoryOrderOutcomeResponse xmlns="urn:riv:clinicalprocess:healthcond:actoutcome:GetLaboratoryOrderOutcomeResponder:4">
<laboratoryOrderOutcome>
<header xmlns='urn:riv:clinicalprocess:healthcond:actoutcome:4'>
<accessControlHeader>
<accountableCareGiver>
<root>1.2.752.129.2.1.4.1</root>
<extension>TSTNMT2321000156-1002</extension>
</accountableCareGiver>
<accountableCareUnit>
<root>1.2.752.129.2.1.4.1</root>
<extension>TSTNMT2321000156-1003</extension>
</accountableCareUnit>
<lockTime>20191010153500</lockTime>
<blockComparisonTime>20191010153500</blockComparisonTime>
<approvedForPatient>true</approvedForPatient>
</accessControlHeader>
<sourceSystemId>
<root>1.2.752.129.2.1.4.1</root>
<extension>LOAD-MOCKS</extension>
</sourceSystemId>
<record>
<id>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-21</extension>
</id>
<timestamp>20191010153500</timestamp>
</record>
<author>
<id>
<root>1.2.752.129.2.1.4.1</root>
<extension>TESTNMT00123-OJFG</extension>
</id>
<name>PC Jersild</name>
<timestamp>20191010153500</timestamp>
<byRole>
<originalText>Läkare</originalText>
</byRole>
</author>
<signature>
<id>
<root>1.2.752.129.2.1.4.1</root>
<extension>SE162321000024-0004</extension>
</id>
<name>Marie Carlsson</name>
<timestamp>20191010153500</timestamp>
<byRole>
<originalText>Läkare</originalText>
</byRole>
</signature>
</header>
<body xmlns='urn:riv:clinicalprocess:healthcond:actoutcome:4'>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-21</extension>
</identifier>
<laboratoryIdentifier>
<root>LAB-IDENTIFIER</root>
<extension>LAB-IDENTIFIER-21</extension>
</laboratoryIdentifier>
<type>
<code>final</code>
<codeSystem>2.16.840.1.113883.4.642.3.235</codeSystem>
<displayName>Slutsvar</displayName>
</type>
<referral>
<identifier>
<root>LOAD-MOCKS</root>
<extension>RID-21</extension>
</identifier>
<timestamp>20191010153500</timestamp>
<version>1</version>
<question>SLE?</question>
<requester>
<id>
<root>1.2.752.129.2.1.4.1</root>
<extension>TESTNMT00123-OJFG</extension>
</id>
<name>Emma Andersson</name>
<byRole>
<originalText>Läkare</originalText>
</byRole>
<orgUnit>
<id>
<root>1.2.752.129.2.1.4.1</root>
<extension>TSTNMT2321000156-1003</extension>
</id>
<name>Reumatologisk avdelning, Västmanland</name>
</orgUnit>
</requester>
</referral>
<groupOfAnalyses>
<name>Bindvävssjukdom</name>
<comment>Antikroppar mot SSA/Ro60 och eller SSB är associerade med diagnosen SLE och Sjögrens syndrom.</comment>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-21</extension>
</identifier>
<timestamp>20191010163500</timestamp>
<code>
<code>NPU28706</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—ANA (IgG, IF)</displayName>
</code>
<status>
<code>398166005</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
</status>
<accredited>true</accredited>
<specimen>
<material>
<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20191010153500</timestamp>
</specimen>
<result>
<type>
<code>NPU28706</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—ANA (IgG, IF)</displayName>
</type>
<value>
<cv>
<code>10828004</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>positiv</displayName>
</cv>
</value>
<comment>Svagt påvisbart kornigt mönster.</comment>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-21</extension>
</identifier>
<timestamp>20191010163500</timestamp>
<code>
<code>NPU12038</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—dsDNA-ak (IgG)</displayName>
</code>
<status>
<code>398166005</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
</status>
<accredited>true</accredited>
<specimen>
<material>
<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20191010153500</timestamp>
</specimen>
<result>
<type>
<code>NPU12038</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—dsDNA-ak (IgG)</displayName>
</type>
<value>
<intervalPQ>
<high>40</high>
<highClosed>false</highClosed>
<unit>kE/L</unit>
</intervalPQ>
</value>
<reference>
<interval>
<high>40</high>
<highClosed>false</highClosed>
<unit/>
</interval>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-21</extension>
</identifier>
<timestamp>20191010163500</timestamp>
<code>
<code>NPU18243</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—SSA/Ro60-ak (IgG)</displayName>
</code>
<method>
<code>68431000052104</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>ELISA</displayName>
</method>
<status>
<code>398166005</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
</status>
<accredited>true</accredited>
<specimen>
<material>
<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20191010153500</timestamp>
</specimen>
<result>
<type>
<code>NPU18243</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—SSA/Ro60-ak (IgG)</displayName>
</type>
<value>
<pq>
<value>62</value>
<unit>kE/L</unit>
</pq>
</value>
<interpretation>
<code>394844007</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>SNOMED-CT-SE</codeSystemName>
<displayName>Utanför referensintervall</displayName>
</interpretation>
<reference>
<interval>
<high>40</high>
<highClosed>false</highClosed>
<unit/>
</interval>
</reference>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-21</extension>
</identifier>
<timestamp>20191010163500</timestamp>
<code>
<code>NPU18237</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—SSA/Ro52-ak (IgG)</displayName>
</code>
<method>
<code>68431000052104</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>ELISA</displayName>
</method>
<status>
<code>398166005</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
</status>
<accredited>true</accredited>
<specimen>
<material>
<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20191010153500</timestamp>
</specimen>
<result>
<type>
<code>NPU18237</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—SSA/Ro52-ak (IgG)</displayName>
</type>
<value>
<cv>
<code>260385009</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>negativ</displayName>
</cv>
</value>
</result>
</analysis>
<analysis>
<identifier>
<root>LOAD-MOCKS</root>
<extension>LOAD-MOCKS-GMH-DEMO-21</extension>
</identifier>
<timestamp>20191010163500</timestamp>
<code>
<code>NPU12567</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—SSB-ak (IgG)</displayName>
</code>
<method>
<code>68431000052104</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>ELISA</displayName>
</method>
<status>
<code>398166005</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>Snomed CT</codeSystemName>
<displayName>utförd</displayName>
</status>
<accredited>true</accredited>
<specimen>
<material>
<code>119297000</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<displayName>blod</displayName>
</material>
<timestamp>20191010153500</timestamp>
</specimen>
<result>
<type>
<code>NPU12567</code>
<codeSystem>1.2.752.108.1</codeSystem>
<codeSystemName>NPU</codeSystemName>
<displayName>P—SSB-ak (IgG)</displayName>
</type>
<value>
<pq>
<value>69</value>
<unit>kE/L</unit>
</pq>
</value>
<interpretation>
<code>394844007</code>
<codeSystem>1.2.752.116.2.1.1</codeSystem>
<codeSystemName>SNOMED-CT-SE</codeSystemName>
<displayName>Utanför referensintervall</displayName>
</interpretation>
<reference>
<interval>
<high>40</high>
<highClosed>false</highClosed>
<unit/>
</interval>
</reference>
</result>
</analysis>
</groupOfAnalyses>
<recipientUnit>
<name>Reumatologisk avdelning, Västmanland</name>
</recipientUnit>
<contactInformation>
<text>Laboratoriemedicin Västmanland 021-123 456 789</text>
</contactInformation>
</body>
</laboratoryOrderOutcome>
</GetLaboratoryOrderOutcomeResponse>
</s:Body>
</s:Envelope> |